Itheku: Izimbangela, Izimpawu, Sifo Nokuselapha

ogulayo itheku syndrome ihlanganisa umqondo arrhythmias ahlukahlukene inhliziyo, okuyinto ezibhekwa imbangela eyinhloko izinguquko sokugembula emsebenzini engeyokuqala itheku. Lesi sifo libhekene khona bradycardia, futhi eminye khona ngokuvamile foci we arrhythmia.

Ukuze balahle lesi sifo okwenzeka, kubalulekile ukwenza ukuxilongwa kanye nokwelashwa okwalandela eyinkimbinkimbi.

Izici lesi sifo

Imisipha yenhliziyo has isikhungo elikhulula isigqi ukushaya kwenhliziyo yakhe. Lomsebenzi wenziwa okubizwa ngokuthi itheku node, okuyinto kubhekwa umshini wokulawula ukushaya kwenhliziyo. Lwenza imiyalezo edluliselwa ngogesi futhi okuqondisa kabusha ukuba inhliziyo.

Itheku node enhliziyweni kuyingozi ku ATRIUM ilungelo endaweni lapho kukhona inhlangano ye cava vena. It is a uhlobo kwamandla, usabalalisa icala inikezwe isigqi amabhithi of imisipha yenhliziyo. Ukuwohloka umzimba umsebenzi kudala uhlobo ukuphazamiseka ekusebenzeni inhliziyo. Lokhu zokugula kuzibonakalisa ngokulinganayo abesilisa nabesifazane futhi ngokuvamile kwenzeka kubantu abadala.

Abagulayo itheku syndrome - akuyona ukugula owodwa othile, kodwa abaningana axhumene iziyaluyalu inhliziyo isigqi. Lo mqondo kuhlanganisa:

• bradycardia;
• tachycardia;
• uhlobo exubile.

zokugula onjalo ezivamile abuye aphendvule kahle ekwelashweni, ikakhulu uma nisanda kokuqala kwalesi sifo. Ukuze sithole khona isifo, qiniseka sizazi izimbangela ukuthi avuse futhi izici ezimangalisayo.

Ukwahlukaniswa kwamadamu isifo

Abaningi bayazibuza, itheku arrhythmia - okungukuthi echaza ukuthi lesi sifo libhekwa futhi okuyinto sobuntu bakhe? Ungakhetha zalezi zinhlobo pathologies, njenge:

• itheku bradycardia;
• tachycardia-bradycardia syndrome;
• block sinoatrial;
• lantambama itheku.

Bradycardia ungachazwa ukuthi inani pulses kwenzeka, futhi lokhu Imiphumela ukunciphisa ukwehla kwe-inhliziyo imisipha Kufinyeta. Uma kukhona esingaphansi komzuzu owodwa nokuncishiswa amahlanu, kubhekwa isibonakaliso eyinhloko bradycardia.

bradycardia-tachycardia syndrome libhekene yokuthi kwenkathi deceleration we imisipha yenhliziyo esikhundleni palpitations. Ngezinye izikhathi phakathi ukuthuthukiswa alandelayo zokugula waphawula fibrillation atrial.

Lapho sinoatrial ukuvinjelwa Nokho, itheku engeyokuqala kuyinto ingashintshiwe, ukuhluleka kwenzeka ngesikhathi ishayela yokudlulisela. On kanjani ngokucacile futhi nombala kwenzeka ishayela ukuvinjelwa kuncike ukusikwa komqondo imisipha yenhliziyo.

itheku stop ngiyibona kusho ngokwayo ukuthi pacemaker isikhashana kuthatha ikhefu ukuthuthukiswa ishayela. Ukwephula indawo umsebenzi ihlukile futhi umlingisi lesi sifo, okungukuthi, ihlukaniswe:

• esicashile zamanje;
• ukugeleza ngakanye;
• owabonakaliswa ngoba.

Esicashile phezu obonakaliswe yokuthi ukungasebenzi kwekhono engeyokuqala itheku cishe ezingabonakali. Ukwehluleka ezingajwayelekile kakhulu futhi kungaba kuphela ukuthola kwezinso ngesikhathi inhlolovo esibanzi.

Yiqiniso Kweseva lesi sifo libhekene iqiniso lokuthi itheku siyenzeka ikakhulu ebusuku. Lokhu kungenxa umthelela isigqi uhlelo autonomic umsebenzi. Lapho ukugeleza zokugula ububonisa ukungasebenzi inhliziyo avele evelele.

Izimbangela isifo

Kunezindlela ezihlukahlukene izizathu ukuthi avuse itheku, okungase zangaphakathi nezangaphandle. Okuvame kakhulu ngezizathu zangaphakathi zihlanganisa ezifana:

• esikhundleni inhliziyo imisipha amaseli by ezicutshini;
• isifo senhliziyo,
• isifo sokuqina kwemithambo yegazi;
• ukuhlinzwa kanye nokwethuka;
• ukuvuvukala, kungakhathaliseki imvelaphi yabo ethile;
• izifo sokuhlasela kwamasosha omzimba;
• ukwephulwa wamaprotheni umzimba.

Futhi izici ungalokothi uphuze kungaba iziyaluyalu umzimba, ukuntuleka noma babutha ukukhiqizwa kwama-hormone i-ndlala yegilo, isifo sikashukela, izinguquko zaphakade isisindo.

Imbangela ezivame kakhulu sangaphandle ogulayo itheku syndrome (ICD-10 - I49.5) ingase ithonywe ngokungadingekile isimiso sezinzwa umnyango obhekele umsebenzi izitho eziningi zangaphakathi. isimo esinjalo kwenzeka uma:

• ukulimala isimiso sezinzwa;
• khona umdlavuza ubuchopho;
• ukopha cerebral;
• yokwemukelwa ehlelekile amalungiselelo athile okwelapha.

Izingane itheku siyenzeka ikakhulukazi idiphtheria, kanye nasebekhulile - e-atherosclerosis izitsha yenhliziyo. Ukuphazamiseka ekusebenzeni uMnyango imisipha yenhliziyo kwenzeka ogxile in iziguli acute isilethikusebenza. Ngokuvamile imbangela buya futhi ukwehluleka oyingozi inhliziyo.

Izimpawu yalesi sifo iyunithi ubuthakathaka

Ukuze ngesikhathi esifanele ukuthola ukugeleza isifo, qiniseka ukwazi, itheku arrhythmia - kuyini futhi yiziphi izimpawu zesifo? Ukwephula kungase avele ngendlela ehluke, kuye ngokuthi isifo okuyinto sokucasuka kubo. Ekuqaleni, lesi sifo singumbulali ikakhulukazi asymptomatic. Iziguli angase angaluboni le ukuphazamiseka izivumelwano inhliziyo ehlala njalo imizuzwana embalwa.

Ezinye iziguli ekuqaleni kungase kube nezinkinga nge kwegazi engxenyeni yobuchopho kanye nezinye izitho, okungaholela ukubonakaliswa emitholampilo ezifanele. Ngemva kwalokho, ne umkhuba oqhubekayo wokubuka ngokwengeziwe zokugula waphawula nokuncipha inani Kufinyeta inhliziyo. Kobukhulu isifo kuncike kakhulu esimweni jikelele uhlelo senhliziyo nemithambo yegazi.

Izici eziyinhloko ogulayo itheku syndrome emabangeni kokuqala:

• isiyezi;
• palpitations;
• yokufikelwa ;
• ubuhlungu besifuba;
• iphika.

izimpawu ezinjalo-non-ethize, okuyinto kungani ukhetha indlela elungele kunazo zonke ukwelashwa kuyadingeka azokuqhubela uphethwe esibanzi. itheku node ukungasebenzi sifo ngamaqembu amabili ahlukene, okungukuthi, ukuhlukumeza womsebenzi ubuchopho, futhi kukhona izinkinga zenhliziyo.

Uma ukwephula womsebenzi ubuchopho bungabonakala izici eziyisisekelo ezifana yenqubo sokugembula, njenge:

• ukucasuka;
• Ukungazinzi ngokomzwelo;
• umuzwa njalo yokukhathala;
• inkumbulo ukungakhuli.

Abantu asebebadala kungenzeka futhi uhlangabezana ukwehla ikhono bokusungula. Esikhathini inchubekelembili okwalandela yenqubo sokugembula isifika disorder kwegazi ukuthi kuphakamisa izimpawu ezinamandla kakhudlwana. Nasebumpungeni nesiyezi kungase kuhambisane ubuthakathaka ezinzima futhi ukuvela tinnitus. Ngenxa yalokho, ukuwohloka ekusebenzeni imisipha yenhliziyo kungaba iconsi elibukhali ingcindezi, kulandele Ukupholisa ngomoya kanye pallor ngokweqile kwesikhumba.

Izimpawu itheku ukuphulwa phezu ingxenye imisipha yenhliziyo e esigabeni sokuqala cishe ingekho. Nge ukuqhubeka zokugula waphawula ubuhlungu ngemuva breastbone ukuthi kwenzeka ngenxa Ukuwohloka perfusion esivimba amanzi. Lapho bandisa inkonzo ngokomzimba, iziguli esekhala ukukhathala ezinzima futhi iphika. Uma isikhathi akusho ukunakekela okuhle kwezokwelapha isiguli, kungaholela ezingamahlalakhona yokumelwa yinhliziyo. Ezigabeni kamuva yenqubo sokugembula kungaba yingozi.

ukuhlola

Ukuze ngesikhathi esifanele ukuthola ukuba khona zokugula kanye nokwelashwa ukuhlola kuhlanganiswe itheku ezibalulekile, okuyinto eyenziwa besebenzisa amasu eziningana ezahlukene. Indlela eyisisekelo kubhekwa kuthatha electrocardiogram ngesikhathi kuhlasela. Ngaphezu kwalokho, izindlela ezinjalo zisetshenziswa sokusebenzisa zokuxilonga, njenge:

• ukuqapha Holter;
• medicated umsebenzi yokuhlola;
• intracardiac cwaningo electrophysiological;
• kwencazelo izimpawu.

Holter kusho ukusetshenziswa a electrocardiograph ephathekayo, okuyinto emini izoqopha umsebenzi imisipha yenhliziyo. Kuyinto elula kakhulu, ngoba kungenzeka ukuthola ukugeleza kufihlwe yenqubo sokugembula. Isiguli kungakuzuzisa baphile izimpilo zabo evamile futhi izinqubo eziyisisekelo. Ngokuhlaziya idatha etholwe, kungenzeka ukunquma yimbangela ukungasebenzi itheku engeyokuqala.

Futhi olwenziwa ukuhlolwa kanye nemsebenti lotsintsa umtimba, ngokuhamba okuyinto inhliziyo lesiguli kukhona nezimfuneko ezithile ngaphezulu. Phakathi ukuvivinya umzimba kwandisa izinga lomoya-mpilo, esidingeka umzimba esivimba amanzi. Lokhu kuhlola ziyonquma izimpawu umoya-mpilo indlala.

ukunakekelwa kwezidingo

ukwelashwa itheku iqala ekhuluma izinto eziyimbangela engabangela lesi sifo conduction. Kuze kube yimanje, ekuqaleni ukhansele yokwamukela amalungiselelo yezokwelapha okhethiwe. Indlela eyinhloko yokwelashwa, iqinisekisa yi engcono kakhulu, kubhekwa ukufakwa we pacemaker.

Ngaphezu ukuqedwa izimbangela yangaphandle kufanele inhlonipho elilungile umthwalo ezingeni, ngaphandle imikhuba emibi. Kuyadingeka ukunciphisa edonsa iziphuzo caffeine. Uma unesifo esingelapheki, ezithinta ukusebenza kwe-engeyokuqala itheku, nawe nakanjani kudingeka bachithe imithi yabo.

imithi

Uma kukhona luyanda umsebenzi isimiso sezinzwa obhekene umsebenzi izitho zangaphakathi kunezinye, nokwephula ngaphezulu, eyenziwa ngezindlela zokwelapha of itheku ogulayo. Doctor linqume izidakamizwa ukuthi ukusiza ukuqeda ukungasebenzi.

Phakathi ukwelashwa ukugwema ukuphuza imithi ingqondo nokwehlisa kwenhliziyo ukwehlisa ingcindezi. Ezimweni esiphuthumayo, isiguli injected lesi sidakamizwa "Atropine". Ukwemukelwa izidakamizwa kuhloswe kuphela ukuqeda izimpawu eziyinhloko futhi isigaba wokulungiselela ukuqhuba ukuhlinzwa.

kokungenela op

Ukuqeda ukungasebenzi itheku node, kubalulekile ukuba ukusungula EHAMBAHAMBA unomphela emzimbeni wesiguli. Kukhona izinkomba ezithile ukufaka umshini wokulawula ukushaya kwenhliziyo, ezinye zazo yilezi:

• khona ngesikhathi esisodwa bradycardia nezinye arrhythmias inhliziyo;
• bradycardia nge ongaphakeme ngokweqile ishayela imvamisa;
• nokulahlekelwa ukwazi kusuka zesifo sokuwa;
• esingamahlalakhona senhliziyo, isiyezi njalo nokuquleka.

Kulokhu, qiniseka ukukhombisa ukufakwa pacemaker, sengathi ngeke ngokushesha ukuqhuba ekwelapheni, kungaba nemiphumela ukuba ungaguli kakhulu, ngisho ezibulalayo.

Ukusetshenziswa amakhambi abantu

Ukuzelapha nge itheku ogulayo akwamukeleki, yingakho ngaphambi kokufaka amasu yokwelapha abantu qiniseka bonana nodokotela wakho kuqala. Phakathi nemithi yokwelapha yendabuko ezenziwe kusukela ezikhishwe ekhethekile, imithi ikakhulukazi, ezifana:

• motherwort;
• Mint;
• valerian;
• Yarrow.

Lezi imithi ibe nomthelela ekubeni ukuzinza wobuthongo, ukuphathwa ukucindezeleka, futhi sithuthukise impilo.

prophylaxis

Ukuvimbela ukuwohloka, qiniseka afeze zokuvimbela abanekhono. Kucondza inhlonipho izimiso ka nokudla okunomsoco, udinga imodi ukulawula usuku. Esikhathini Ukudla kufanele kube imikhiqizo ekhona nge wokuqukethwe lelisetulu potassium ne-magnesium ezinomthelela nokugcina nekusebenta imisipha yenhliziyo.

Ukuvivinya umzimba kumelwe nakanjani babe njalo, futhi umthwalo kukhuphuke kuye isimo lesiguli wezempilo kanye nenhlalakahle. Kufanele ukuzama ukuqeda kusuka yakho ukucindezeleka ekuphileni psycho-ngokomzwelo futhi ukucindezeleka. Ukuze smoothen isimiso sezinzwa kuyatuseka ukusebenzisa imikhiqizo yemvelo futhi senqabe reception izidakamizwa.

Kufanele futhi ukuqapha inani kashukela futhi ukuqapha kwesisindo ezinganeni nakubantu abadala. Awukwazi ukuthatha imithi i imithi engalawuliwe, njengoba ngisho izidakamizwa engalimazi kakhulu kungaba avuse Ukuwohloka umsebenzi senhliziyo esilimele. Qiniseka ukuthatha luhlolo ngesikhathi esifanele kanye nokwelashwa ukuvimbela ukwedlulela lesi sifo isigaba eziyinkimbinkimbi.

Isibikezelo nemiphumela

Kubalulekile ukukhumbula ukuthi ogulayo itheku syndrome - isifo esiyingozi kungaba nemiphumela eziningi ezimbi. Lokhu zokugula kwenzeka ikakhulukazi Nokho, abantu ubudala amadala, muva nje ukuthi nginesifo ke futhi izingane ezincane kanye intsha. Imiphumela sifo Ingaba yinto engathí sina kakhulu, ikakhulukazi, ezifana:

• kumiswa unomphela itheku bradycardia;
• Ukuvinjwa njalo inhliziyo imizuzwana embalwa;
• ivimbela ukudluliselwa itheku pulses;
• izikhathi zokudakwa kaningi tachycardia;
• flutter atrial.

Uma impatho elingalungile noma zife yenqubo sokugembula engenzeka unhlangothi nendlela lokhu kungabangela ukulimala ijwabu ubuchopho kanye ukuphazamiseka ekusebenzeni kobuchopho. Ngaphezu kwalokho, ngenxa yalo isifo kungenzeka ukwakheka amahlule, okuyinto iyingozi kakhulu ekuphileni, njengoba uma kukhona ngokwahlukana igazi ihlule kusukela Imithambo yegazi, lokho kungase kubangele ukufa.

Enye zokugula kungaba ukumelwa inhliziyo, okuyinto evame kwakheka ukungabi ukwelashwa okufika ngesikhathi futhi ukuqhubekela phambili kwesifo.

Wona ukuhlukumeza isikhungo pulse pacemaker akuyona esiyingozi futhi ayinaso nomthelela omubi bempilo lesiguli. Usongo kuphela imiphumela okungatholakala senziwa okuvela isifo.

I uhlobo nezinga lokuziphatha umonakalo izoncika kakhulu sobude umhlahlo ukuphila. Uma ukungasebenzi engeyokuqala itheku kwakhiwa njengoba yezinkinga ezibangelwa percolation ezihleli isifo, uqine kangakanani kwaba ukunqotshwa umzimba, kuzoncika umhlahlo sokusinda olwengeziwe.